Relationship Between CT Head Findings and Long-term Recovery in Children with Complicated Mild Traumatic Brain Injury. (2nd January 2022)

• Record Type: Journal Article
• Authors: Hansen, Colby; Waller, Laura C.; Brady, Dalton; Teramoto, Masaru
• Is Part Of: Brain injury. Volume 36:Number 1(2022)
• Page Start: 77
• Page End: 86
• Publication Date: 2022-01-02
• Subjects: Complicated mild traumatic brain injury -- computed tomography -- concussion -- degree and length of recovery -- pediatric mild traumatic brain injury -- imaging findings; Brain damage -- Periodicals; Brain -- Wounds and injuries -- Periodicals; Brain Injuries -- Periodicals; 617.481
• DOI: 10.1080/02699052.2022.2034947
• Languages: English
• ISSNs: 0269-9052

Abstract

ABSTRACT: Primary Objective: Complicated mild traumatic brain injury (C-mTBI) refers to CT positive patients with clinically mild TBI. This study investigates the association between CT head findings at time of injury and recovery of paediatric patients with C-mTBI. Research Design: Retrospective survey and chart review. Methods: For paediatric patients with C-mTBI ( N = 77), CT findings associated with corresponding degree and lengths of recovery from C-mTBI using logistic regression analysis. Results: There was a trend that the odds of incomplete recovery at the time of survey was higher for older children than for younger children (OR = 1.14, 95% CI = 0.98–1.32, p = 0.072). There was a trend that the odds of incomplete recovery (OR = 6.26, 95% CI = 0.97–40.57, p = 0.054) and longer duration for recovery (OR = 8.14, 95% CI = 0.78–84.46, p = 0.079) was higher for children with multiple haemorrhagic contusions than those with single haemorrhagic contusion. No other imaging patterns predicted degree or length of recovery with statistical significance ( p > 0.05). Conclusions: Other than the presence of multiple haemorrhagic contusions, no other pattern of imaging abnormality in paediatric C-mTBI appears to be associated with degree or length of recovery. Further studies with larger cohorts are encouraged.